Healthcare Provider Details

I. General information

NPI: 1275696668
Provider Name (Legal Business Name): MARK A HUBKA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2623 E FOOTHILL BLVD SUITE 105
PASADENA CA
91107-3466
US

IV. Provider business mailing address

2623 E FOOTHILL BLVD SUITE 105
PASADENA CA
91107-3466
US

V. Phone/Fax

Practice location:
  • Phone: 626-796-2639
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14640
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number14640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: